CO

PCSLDA
000000-000000
Earnings Statement
U329: DC NALC-TENNESSEE
0000104306: DC Operations Empl ID 000477837
Page 001 of 001
NIKE TN, Inc.
Period Beg/End: 03/21/2021 - 04/03/2021
One Bowerman Drive
Advice Date: 04/09/2021
Beaverton OR 97005-6453
Advice Number: 4778370012
Batch Number: 000000001643

STANLEY, MONIQUE S
3232 RIVER VALLEY LN
MEMPHIS, TN 38119

For inquiries on this statement please call: 888-360-6453

Total Hours Worked: 45.78
Basis of Pay: Hourly
Pay Rate: 15.0000
Earnings
_________________________________________________________
Rate Hours This Period Year-to-Date Other Deductions This Period Year-to-Date
___________________________________________
Regular 15.0000 45.78 686.70 5,187.15 Pre-Tax Deductions
SD .50 0.50 69.11 34.56 224.19 AD&D 0.81 4.86
SD 15.9% 15.0000 10.99 164.85 1,069.35 Dental 48.00 288.00
INCEN 20 80.55 Medical 494.00 2,964.00
Holiday 120.00 Supp. Life 0.58 3.48
FL Hol 15.0000 6.00 90.00 193.50 Vision 9.00 54.00
PTO 15.0000 17.00 255.00 709.50 Total 552.39 3,314.34
RegNoWrk 15.0000 0.33 4.95 42.60
Hol Lieu 472.50 Post-Tax Deductions
Ben Cred 456.06 2,736.36 Child Life Ins 0.25 1.50
Weather 187.50 Total 0.25 1.50
Total Earnings 1,692.12 11,023.20
Net Pay 1,052.27
Additional Taxable Compensation
Imputed Income - Life 0.22 1.32 Direct Deposit Summary
Total 0.22 1.32 XXXXXX9139 150.00
XXXXX5982 902.27
Gross Pay 1,692.12 11,023.20
Paid Time Off
Tax Deductions PTO Balance 12.87-
Social Security Tax 70.68 478.03
Medicare Tax 16.53 111.80 Regulatory Time Off Balance
Total 87.21 589.83 CSL Available 80.00

Federal Taxable Gross

Federal Reportable Earnings 1,139.95 7,710.18

*Excluded from taxable wages

2002 A utomaticData Processing (PCSUVO)

NIKE TN, Inc.

Advice Number: 4778370012
One Bowerman Drive
Beaverton OR 97005-6453
Advice Date: 04/09/2021

STANLEY, MONIQUE S Savings XXXXXX9139 284085375 150.00

Checking XXXXX5982 065400137 902.27